| NPI | 1174921449 |
|---|---|
| Former Name | VICTORIA LYNN MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019755) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2021-01-28 |